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Increased risk for thromboembolic events from combination of a gynecologic malignancy with severe acute respiratory syndrome coronavirus 2 infection: a case report.
Stefan, Alexandra; Petkovic, Marija; König, Alexander; Koch, Julian; Hagemann, Friederike; Wuerstlein, Rachel; Harbeck, Nadia; Mahner, Sven; Kaltofen, Till.
  • Stefan A; Department of Obstetrics and Gynecology, University Hospital, LMU Munich, Munich, Germany. Alexandra.Stefan@med.uni-muenchen.de.
  • Petkovic M; Department of Medicine IV, University Hospital, LMU Munich, Munich, Germany.
  • König A; Department of Obstetrics and Gynecology, University Hospital, LMU Munich, Munich, Germany.
  • Koch J; Department of Obstetrics and Gynecology, University Hospital, LMU Munich, Munich, Germany.
  • Hagemann F; Department of Obstetrics and Gynecology, University Hospital, LMU Munich, Munich, Germany.
  • Wuerstlein R; Department of Obstetrics and Gynecology, University Hospital, LMU Munich, Munich, Germany.
  • Harbeck N; Department of Obstetrics and Gynecology, University Hospital, LMU Munich, Munich, Germany.
  • Mahner S; Department of Obstetrics and Gynecology, University Hospital, LMU Munich, Munich, Germany.
  • Kaltofen T; Department of Obstetrics and Gynecology, University Hospital, LMU Munich, Munich, Germany.
J Med Case Rep ; 16(1): 119, 2022 Mar 22.
Article in English | MEDLINE | ID: covidwho-1753123
ABSTRACT

PURPOSE:

During the severe acute respiratory syndrome coronavirus 2 pandemic, several patient groups are at particular risk. Mortality is higher among cancer patients and may be increased further by thromboembolic events, which are more common in coronavirus 2019 patients according to recent publications. We discuss the association of gynecologic malignancies, Severe acute respiratory syndrome coronavirus 2, and thromboembolism by reporting a case study and summarizing available literature. CASE REPORT A 71-year-old Caucasian patient with ovarian cancer receiving first-line chemotherapy was diagnosed with deep vein thrombosis and pulmonary embolism. Routine screening revealed infection with severe acute respiratory syndrome coronavirus 2 in absence of specific symptoms. After uneventful recovery, oncologic treatment could be continued a few weeks later.

METHODS:

We performed a systematic review of the literature on PubMed following Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines. The search included articles ahead of print, published between 1 December 2019 and 1 June 2020. Cross-searches were conducted on all relevant articles.

RESULTS:

We identified five articles meeting the defined criteria, including two retrospective studies, a review, a position paper, as well as a letter to the editor.

CONCLUSION:

Cancer patients infected with severe acute respiratory syndrome coronavirus 2 have a relatively poor outcome, which may partially be due to a higher rate of thromboembolic events. Thromboprophylaxis is recommended, and scoring systems are helpful in early detection. In cancer patients with severe acute respiratory syndrome coronavirus 2, individual risk for thromboembolic events should be taken into account when considering interruption versus continuation of antitumoral therapy. However, further data and studies are required.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Venous Thromboembolism / COVID-19 / Genital Neoplasms, Female Type of study: Case report / Diagnostic study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials / Reviews / Systematic review/Meta Analysis Topics: Long Covid Limits: Aged / Female / Humans Language: English Journal: J Med Case Rep Year: 2022 Document Type: Article Affiliation country: S13256-022-03340-8

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Venous Thromboembolism / COVID-19 / Genital Neoplasms, Female Type of study: Case report / Diagnostic study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials / Reviews / Systematic review/Meta Analysis Topics: Long Covid Limits: Aged / Female / Humans Language: English Journal: J Med Case Rep Year: 2022 Document Type: Article Affiliation country: S13256-022-03340-8